@(usuarioForm: Form[Usuarios])

@main("Editar usuário"){

<meta charset="utf-8" />

<div class="panel panel-default">
	<div class="panel-heading">Novo usuário</div>
	<form class="form-horizontal">
		<div class="panel-body">

			<fieldset>
				<legend>Informações pessoais</legend>
				<div class="form-group">
					<label for="nome" class="col-lg-2 control-label">Nome:</label>
					<div class="col-lg-4">
						<input type="text" class="form-control" id="nome">
					</div>
				</div>

				<div class="form-group">
					<label for="dtNascimento" class="col-lg-2 control-label">Data de Nascimento:</label>
					<div class="col-lg-2">
						<input type="text" class="form-control" id="dtNascimento">
					</div>
				</div>

				<div class="form-group">
					<label for="rg" class="col-lg-2 control-label">RG:</label>
					<div class="col-lg-2">
						<input type="text" class="form-control" id="rg">
					</div>
				</div>

				<div class="form-group">
					<label for="cpf" class="col-lg-2 control-label">CPF:</label>
					<div class="col-lg-2">
						<input type="text" class="form-control" id="cpf">
					</div>
				</div>

			</fieldset>

			<fieldset>
				<legend>Contatos</legend>

				<div class="form-group">
					<label for="fone" class="col-lg-2 control-label">Telefone:</label>
					<div class="col-lg-2">
						<input type="text" class="form-control" id="fone">
					</div>
				</div>

				<div class="form-group">
					<label for="email" class="col-lg-2 control-label">E-mail:</label>
					<div class="col-lg-6">
						<input type="text" class="form-control" id="email">
					</div>
				</div>
			</fieldset>

			<fieldset>
				<legend>Endereço</legend>

				<div class="form-group">
					<label for="cidade" class="col-lg-2 control-label">Cidade:</label>
					<div class="col-lg-4">
						<select class="form-control" id="cidade">

						</select>
					</div>
				</div>

				<div class="form-group">
					<label for="estado" class="col-lg-2 control-label">Estado:</label>
					<div class="col-lg-4">
						<select class="form-control" id="estado">

						</select>
					</div>
				</div>

				<div class="form-group">
					<label for="cep" class="col-lg-2 control-label">CEP:</label>
					<div class="col-lg-4">
						<input type="text" class="form-control" id="cep">
					</div>
				</div>

				<div class="form-group">
					<label for="rua" class="col-lg-2 control-label">Rua:</label>
					<div class="col-lg-6">
						<input type="text" class="form-control" id="rua">
					</div>

					<label for="numero" class="col-lg-1 control-label">Número:</label>
					<div class="col-lg-2">
						<input type="text" class="form-control" id="numero">
					</div>
				</div>

				<div class="form-group">
					<label for="bairro" class="col-lg-2 control-label">Bairro:</label>
					<div class="col-lg-4">
						<input type="text" class="form-control" id="bairro">
					</div>
				</div>
			</fieldset>

			<fieldset>
				<legend>Dados de acesso</legend>

				<div class="form-group">
					<label for="login" class="col-lg-2 control-label">Login:</label>
					<div class="col-lg-4">
						<input type="text" class="form-control" id="login">
					</div>
				</div>

				<div class="form-group">
					<label for="senha" class="col-lg-2 control-label">Senha:</label>
					<div class="col-lg-4">
						<input type="text" class="form-control" id="senha">
					</div>
				</div>

				<div class="form-group">
					<label for="rSenha" class="col-lg-2 control-label">Repetir
						a senha:</label>
					<div class="col-lg-4">
						<input type="text" class="form-control" id="rSenha">
					</div>
				</div>

				<div class="form-group">
					<label for="permissao" class="col-lg-2 control-label">Permissão:</label>
					<div class="col-lg-4">
						<select multiple="" class="form-control" id="permissao">

						</select>
					</div>
				</div>
			</fieldset>

		</div>
		<div class="panel-footer">
			<fieldset>
				<a href="#" class="btn btn-success pull-right" style="width: 110px;">Salvar</a>
				<a href="/usuario/listagem_usuarios" class="btn btn-default pull-right"
					style="width: 110px; margin-right: 10px;">Cancelar</a>
			</fieldset>
		</div>
	</form>
</div>

}
